Healthcare Provider Details
I. General information
NPI: 1972506459
Provider Name (Legal Business Name): DARIA SCHOOLER MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 05/27/2005
Last Update Date: 01/15/2010
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2675 FOX POINTE DRIVE
COLUMBUS IN
47203
US
IV. Provider business mailing address
P O BOX 3007
COLUMBUS IN
47202-3007
US
V. Phone/Fax
- Phone: 812-375-0000
- Fax: 812-375-0711
- Phone: 812-375-0000
- Fax: 812-375-0711
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 174400000X |
| Taxonomy | Specialist |
| License Number | 01041084 |
| License Number State | IN |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207T00000X |
| Taxonomy | Neurological Surgery Physician |
| License Number | 010410814A |
| License Number State | IN |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: